Case 74 · ICHD-3 10.5

10.5 Headache attributed to fasting

Origin

Synthetic

Language

English — also available in German

Contributed by

Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)

Anamnesis

Patient: Female, 32 years old, with no history of migraine or other primary headaches. Report: Describes episodes of bifrontal, throbbing headache of moderate intensity, occurring after long periods without eating (≥16 hours). The pain develops gradually, worsens with routine physical activity, and improves significantly within 1 hour after food intake. The symptoms do not meet criteria for migraine or tension-type headache. There is no associated nausea, photophobia, or phonophobia. Neurological and neuroimaging examinations are normal.

Report this case — e.g. suspected re-identification risk.